Professional Documents
Culture Documents
(Res)
Government of India
Ministry of Personnel, Public Grievances and Pensions
Department of Personnel and Training
****
North Block, New Delhi
Dated the 29 th November, 2013
OFFICE MEMORANDUM
Sub: Reservation for Persons with Disabilities-revised forms for Disability Certificates.
Keeping in view the amended Rules for Disability Certificates issued by the Ministry of
3.
Social Justice and Empowerment vide Notification dated 30.12.2009, paras 9, 10 and 11 of this
Department's O.M. No. 36035/3/2004-Est(Res) dated 29.12.2005 relating to issue of Disability
Certificate stands withdrawn.
All the Ministries/Departments are now requested to comply with the instructions
4.
contained in Rules 3 to 6 of Chapter II relating to Disability Certificate as per Ministry of Social
Justice and Empowerment's Notification No. G.S.R. 2 (E) dated 30 ,12.2009 (copy enclosed for
ready reference).
All the Ministries/Deparunents are also requested to h. cag the above instructions to the
5.
notice of all k pointing authorities under their control.
6111-
(G. Srimvasan)
Deputy Secretary to the Govt. of India
Encl.• As above Tee: 2309 3074
G.S.R. 2 (E).—In exercise of the powers conferred by sub-sections (1) and (2) of
Section 73 of the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full
Participation) Act, 1995 (1 of 1996), the Central Government hereby makes the following rules
to amend the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full
Participation) Rules, 1996, namely :—
1. (1) These rules may be called the Persons with Disabilities (Equal
Opportunities, Protection of Rights and Full Participation) Amendment
Rules, 2009.
(2) They shall come into force from the date of their publication bathe Official
Gazette.
2. In the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full
tarticipation) Rules, 1996, -
(I) for rule 2 , the following rule shall be substituted, namely:-
"2. Definitions.-
(1) In these rules unless the context otherwise requires,—
(a) "Act" means the Person$ with Disabilities (Equal Opportunities,
Protection of Rights and hill Participation) Ad, 1995 (1 of 1996);
3 GI/10-3
18 THEGAZETTE OF INDIA: EXTRAORDINARY 'PART II-SEC. Mill
(ii) for CHAPTER II, the following Chapter shall be substituted, namely :-
"CHAPTER II
DISABILITY CERTIFICATE
(2) The certificate shall be issued as far as possible, within a week from the
date of receipt of the application by the medical authority, but in any
case, not later than one month from such date.
(5) A copy of every disability certificate issued under these rules by. a medical
authority other than the Chief Medical Officer shall be simultaneously sent
by such medical authority to the Chief Medical Officer of the District.
et) 20 THEGAZETTEOFINDIA: EXTRAORDINARY [PART II—SEC. 3(i)]
(1) Any applicant for a disability certificate, who is aggrieved by the nature of
a certificate issued to him, or by refusal to issue such a certificate in his
favour, as the case may be, may represent against such a decision to the
medical authority as specified for the purpose by the appropriate
Government:
(iii) for rule 43, the following rules shall be substituted, namely:-
23
Wrd 'MT p4'T aTRIETRIT
:
j 711-171-43
(2) A person may serve as Chief Commissioner for a maximum of two terms,
subject to the upper age limit of sixty-five years.
(1) Leave
The Cruet Commissioner shall be entitled to such leave as is admissible to
Government servants under the Central Civil Service (Leave) Rules, 1972.
Rules, 1988.
(3) Medical Benefits -
The Chief Commissioner shall be entitled to such medical benefits as is
admissible to Group 'A' officers under the Central Government Health
Scheme (CGHS).
24 THE GAZETTE OF INDIA: EXTRAORDINARY [PART II—Sec. 3(01
(iv) after rule 45 and before FORM DPER-I, the following Forms shall be inserted,
namely:-
[ 1347711-131173"3(i) ] %TRW :war : BTATIMIR 25
1. Name
(Surname) (First name) (Middle name)
Mothersname
2. Father's name
3. Date of Birth:
(date)) (month) (year)
years
4. Age at the time of application:
5. Sex: Male/Female
6. Address :
(b) Current Address (i.e. for communication)
(a) Permanent address
8. Occupation
(ii)
9. Identification marks ( )
3 GI/1 0--4
[PART 301
26 THE GAZETTE OF INDIA : EXTRAORDINARY
12. (i) Did you ever apply for issue of a disability certificate in the past---- YES/NO
(ii) If yes, details:
(a) Authority to whom and district in which applied
(b) Result of application
13. Have you ever been issued a disability certificate in the past? If yes, please
enclose a true copy.
Declaration: I hereby declare that all particulars stated above are true to the best of my
knowledge and belief, and no material information has been concealed or misstated. I
further, state that if any inaccuracy is detected in the application, I shall be liable to
forfeiture of any benefits derived and other action as per. Jaw.
•
Date:
Place:
End:
1. Proof of residence (Please tick as applicable)
(a) ration card,
(b) voter identity card,
(c) driving license,
(d) bank passbook
(e) PAN card,
(f) passport,
(g) telephone, electricity, water and any other utility bill indicating the address of the
applicant,
(h) a certificate of residence issued by a Panchayat, municipality, cantonment board, any
gazetted officer, or the concerned Patwari or Head master of a Govt. school,
(i) in case of an inmate of a residential institution for persons with disabilities, destitute,
mentally ill, etc., a certificate of residence from the head of such institution.
Form-H
Disability Certificate
(In cases of amputation or complete permanent paralysis of limbs
and in cases of blindness)
(See rule 4)
Recent PP size
Attested
Photograph
(Showing face
only) of the person
with disability
Certificate No. Date:
Shri/Smt./Kum.
son/wife/drughter of Shri
Date of Birth Age years, male/female
(DD / MM / VY)
Registration No permanent resident of House
Signature/Thumb
impression of the
person in whose
favour disability
certificate is
issued
r WITH -13fv3. 3(i) WiRM1 : 3RTIUTWE 29
Form-III
Disability Certifioate
(In case of multiple diSabilities)
(NAME AND ADDRESS OF THE MEDICAL AUTHORITY ISSUING THE
CERTIFICATE
(See rule 4)
Recent PP size
Attested
Photograph
(Showing face
only) of the person
with disability
Date:
Certificate No.
2 Low vision #
4 Hearing impairment
5 Mental retardation X
6 Mental-illness X
(B) In the light of the above, his /her over all permanent physical impairment as per
guidelines(to be specified), is as follows:-
In figures:- percent
I In words:- percent
improve.
3. Reassessment of disability is :
(i) not necessary,
Or
(ii) is recommended/ after years months, and therefore this
Signature/ Thumb
impression of the
person in whose
favour disability
certificate is
issued.
32 THE GAZETTE OF INDIA: EXTRAORDINARY [PART II—SEc. 3(1))
Form-IV
Disability Certificate
(In cases other than those mentioned in Forms II and III)
vile/daughter of Shri
impairment/disability has been evaluated as, per guidelines (to be specified) and is
disability (in %)
Locomotor disability @
,
Ni_IN-1
- Low vision 4
[
Hearing impairment I £
Mental retardation I 7:
I 6 Mental-illness X
I
(DInzen ctriLet ru el- +In., .4,.....1-.Ins.-- ..A.._s_ are not .. .
app e.
3. Reassessment of disability is :
Countersigned
Signature/Thumb
impression of the
person, in whose 1,
favour disability
certificate is issued
Note: In case this certificate is issued by a medical authority who is not a government
servant, it shall be valid only if countersigned by the Chief Medical Officer of the
District."
Note: The principal rules were published in the Gazette of India vide notification
number S.O. 908(E), dated the 31st December, 1996.
triTit4:
Dated
o,
(Name and address of applicant
for Disability Certificate)
Sir / Madam,
Please refer to your application dated for issue of a Disability Certificate for
the following disability:
2. Pursuant to the above application, you have been examined by the undersigned/
,
(i)
(ii)
(iii)
3. In case you are aggrieved by the rejection of your application, you may
represent to , requesting for review of this
decision.
Yours faithfully,
2. Pursuant to the above application, you have been examined by the undersigned/
Medical Board on , and I regret to inform that, for the reasons mentioned
below, it is not possible to issue a disability certificate in your favour:
3. In case you are • aggrieved by the rejection of your 'application, you may
represent to requesting for review of this
decision.
Yours faithfully,